Scribe Jobs

About The Position

Requirements

• High school diploma or general equivalency diploma (GED)
• Minimum one year of Medical Scribe experience in a medical office setting preferred
• Basic medical terminology is a plus.
• Knowledge of medical terminology and office procedures.
• Knowledge of grammar, spelling, and punctuation to type from draft copy and review and edit reports and correspondence.
• Knowledge of basic arithmetic to make calculations, balance and reconcile figures, and make changes accurately.
• Skill in operating office equipment.
• Skill in organizational matters including time management, prioritization, and multitasking.
• Skill in writing and communicating effectively.
• Skill in problem-solving.
• Demonstrate organizational ability to maintain and coordinate multiple forms and paper documentation related to patient care.
• Demonstrate the knowledge and skills necessary to document patient care as dictated by a physician in a legible and clear manner, following all local, state, and federal guidelines for documentation.
• Demonstrate an ability to maintain confidentiality and privacy in accordance with governing HIPAA regulations.
• Ability to type using word-processing software.
• Able to learn/use other computer programs including Microsoft® Excel, including Word, and Excel, e-mail, and Internet.
• Ability to use standard office equipment, including but not limited to a computer, phone, fax machine.
• Ability to read, understand, and follow oral and written instructions.
• Ability to sort and file materials correctly using alphabetic or numeric systems.
• Ability to communicate clearly and concisely.
• Ability to establish and maintain effective working relationships with patients, physicians and other clinical staff, and the public.

Responsibilities

• Accompany the physician upon patient interview and examination.
• Document the physician dictated patient history, including history of present illness, review of systems, past medical and surgical history, family and social histories, medications and allergies.
• Document physical examination findings and procedures as performed by the physician.
• Document the results of laboratory and radiographic studies as dictated by the physician.
• Document the correct time of patient care related activities, including physician to physician communication, family communication and re-examination of the patient.
• Maintain and demonstrate an understanding of the team approach to patient care and documentation.
• Complete and present the medical record in collaboration with the supervising physician.
• Communicate in a professional and respectful manner to the supervising physician, and ancillary hospital staff.
• Performs other duties as assigned.